| NPI | 1205948528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH EDWARD SIMMS Physician Owner 304-934-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV WV1206) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-08-01 |